Widening Participation Travel Bursary Application Form

Widening Participation Travel Bursary Application Form

Type of event

Please specify the Widening Participation programme

Your details

Title

First Name

Last Name

Date of Birth

Address

Post Code

Email address

Mobile Phone Number

School Name

Please tick to confirm you meet all three of the below criteria, we may contact your teacher/advisor for confirmation:

I currently attend a non-selective UK state schoolI'm on target to achieve, or have already achieved a min 5 A*-C/4-9 grades at GCSE including Maths and EnglishI am on target to achieve a minimum of BBB at A level or equivalent relevant qualificationsTo continue you must meet all three of the below criteria

Please tick to confirm which of the below criteria you meet:

1. I have lived, or I am currently living, in local authority care2. I am in receipt of, or entitled to, Free School Meals (evidence may be requested)3. I am estranged from my family/living independently/living with friends (no contact with family)4. I am participating in an eligible access programme (Realising Opportunities, Pathways to Law, Bridge the Gap, Access to Queen Mary)For point 1, please check your home postcode in the postcode checker at www.qmul.ac.uk/travelbursary

I understand that the Widening Participation Travel Bursary can only cover tickets to and from mainline train stations and cannot cover additional journeys taken by Tube/TfL

Yes, I understand

Is there anything else we should know about your journey? For example, wheelchair access required

Travel details

Queen Mary can support with the cost of rail travel to attend the Open Day. Rail travel tickets will be provided in advance of the event and departure stations/times cannot be amended once the form is submitted. Where possible, an e-code or e-ticket will be purchased and emailed to you ahead of your journey.

Please confirm the date of the event

Please select your desired departure time

Please write, in full, your departure mainline train station (e.g. Bromley South)

Please write, in full, your destination mainline train station (e.g. London Cannon Street)

Do you own a travel card? Please state yes/no with a description of the travel card type.
e.g. Yes - 16-25 Railcard

Teacher's information

Teacher's First Name

Teacher's Last Name

Teacher's email address

We may contact your teacher to ask for further details regarding your widening participation and academic eligibility

Privacy and Preferences

Queen Mary University of London complies with relevant data protection legislation and subsequent regulations including the Privacy and Electronic Communications Regulations. All information from this form will be held and processed in accordance with our privacy notice.

We would also like to contact you in the future with information that is relevant to your interests such as event invitations, newsletters and other updates tailored to you.

Communication preferences

You will retain the right to opt-out of future correspondence at any point.

Data Protection Privacy Notice for Widening Participation

This privacy notice explains how Queen Mary University of London (QMUL) collects and uses personal data of people who attend events run by our Widening Participation team. The Widening Participation Data Protection Notice is in addition to the Queen Mary privacy notice above. Please click here to see how the UK Student Recruitment and Widening Participation Team will use and process your data.

In order to receive the Widening Participation Travel Bursary you must confirm expenses are for reasonable travel arrangements (i.e. standard class, UK travel) and it is not possible to claim for any food, drink or overnight costs. We reserve the right to close the application due to high responses as the fund is limited.

This event is a public event and an official photographer will be taking photographs for use by the University for marketing and publicity - in our publications, on our website and social media, or in any third party publication. Please contact a member of staff on the day if you wish to be exempted from this activity.

Please confirm:

I have read and agree for my data to be used as described in the 'How we use your data' sectionI have read and do not agree for my data to be used (Your data will be held only as long as it is needed for administration of the WP Travel Bursary then it will be destroyed.)

If you experience any issues while completing this form please contact us

Contact Information